CMS Price Transparency Data

Drug screening test

Facility: Intermountain Health Sanpete Valley Hospital

Billing Code: G0480 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$113
about 1.0× the $114 Medicare rate · typically $57–$232
modeled estimate · not a bill or quote
What this hospital charges insurers
$114
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $114 Fair price $113 This hospital $114 Cash price $100 Hospital's list price $134

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

A typical price — 0 charge more and 3 charge less, among the 9 UT hospitals compared.

Cheapest $96 Priciest $114

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

A fair price for a Drug screening test is about $113 (about 1.0× the $114 Medicare rate). Intermountain Health Sanpete Valley Hospital charges insurers about $114, or about $100 in cash — about the fair price. Located in Mount Pleasant, UT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $40 - $127 35%
Blue Cross Blue Shieldmajor $40 - $127 35%
Aetnamajor $40 - $129 35%
Cignamajor $127 111%
Humanamajor $40 - $127 35%
HealthPartners $40 - $114 35%
Molina $36 - $127 31%
SelectHealth $36 - $127 31%
+ 30 smaller / regional plans $36 - $129
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1100 South Medical Drive, Mount Pleasant, UT 84647
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals